| Code | Description | Claims | Beneficiaries | Total Paid |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
254 |
38 |
$6K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
142 |
25 |
$4K |
| Q3014 |
Telehealth originating site facility fee |
102 |
98 |
$2K |
| G0008 |
Administration of influenza virus vaccine |
119 |
118 |
$1K |
| 90662 |
|
15 |
15 |
$584.63 |
| 90685 |
|
18 |
18 |
$249.81 |
| Q2038 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) |
80 |
79 |
$0.00 |